Phone: 1-877-496-2463 Address: 67 Captain Cushman Rd., Morrill, Maine  04952
Ironwood Maine | Troubled Teen Residential Facility Ironwood Maine | Troubled Teen Residential Facility
Ironwood Maine | Highest quality of care for troubled teens
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Admission Forms


Below, you will find the admission forms for Ironwood. All of the forms are in PDF format. If you do not have a PDF viewer, you can download one for free by clicking here. The pre-admission form is also available in Word format, so it can be completed for e-mailing to Ironwood.

In addition to the above-mentioned forms, supporting documentation is also required. In order to process your child's application in the most timely manner, the admissions committee will also need copies of educational records (transcripts, report cards, educational evaluations, etc.), medical records (immunization records and prescriptions for any medications currently being administered), any clinical records (psychological evaluations, therapists notes, discharge summaries, progress notes, etc.),and legal documents (custody orders or other pertinent legal documents). These documents can also be faxed or mailed.

Our address is Ironwood, 67 Captain Cushman Rd., Morrill, Maine 04952

Our fax number is 207-342-3731.

Ironwood Admission Form (PDF for Faxing or Mailing)

Ironwood Admission Form (Word Format for E-Mailing)

Ironwood Intake Evaluation (Word Format for E-Mailing)

Ironwood Intake Evaluation (PDF for Mailing or Faxing)

Minor Power of Attorney

Rights of Recipients of Inpatient / Residential Mental Health Services

Ironwood Placement Agreement

Physician Provider Form

Over-The-Counter Drugs Form

Informed Consent for Psychotropic Medication(s)

Credit Card Release for Coastal Kids Pediatrics

Credit Card Release for Dr. Slaughter

Photo Release Agreement



Immunizations


For required immunizations needed before your child enters the Ironwood program, we suggest you comply with the CDC guidelines as instructed by your primary care provider. Please discuss the need for a tetanus booster and the meningococcal vaccine.



Clothing for Ironwood


Please provide the following clothing items for your child upon arrival to Ironwood. If you don’t already have these items we suggest you shop at www.llbean.com or comparable. Please do not send items with visible brand names or logos. Ironwood will provide t-shirts and sweatshirts.

Clothing for Ironwood

Mens Jeans Example to Buy for Ironwood

Ladies Jeans Examples to Buy for Ironwood

Example of Mud/Barn Boots



Sallie Mae Loans


For those families who are interested in funding options, Ironwood participates in the Sallie Mae loan program. Below are downloadable forms to help you make application to Sallie Mae for a loan for your child's attendance at Ironwood. Please feel free to contact our admissions office or Sallie Mae directly if you have any questions.


Sallie Mae Loan Online Application

Sallie Mae Direct Loan Application (PDF)

Sallie Mae Loan Consent to Receive Disclosures via E-Mail (PDF)

Sallie Mae Loan Information on the Direct Loan Process (PDF)

Sallie Mae Loan Brochure (PDF)




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